2014年8月15日 星期五

Modified Ashworth Scale





   Modified Ashworth Scale

  • 這是用來評估spasticity程度的一個量表,共分6個等級(參考下表)
  • 方法:
  1. 請病人肢體放鬆,治療師被動把肢體向各個動作方向移動,感受在各個方向肢體產生的阻力程度來給分。
  2. 要先確認患者的ROM角度。

Grade
強度分級(暫時歸納)
Discription
0
No increase in muscle tone.  (肌肉張力沒有增加)

1

微強
Slight increase in muscle tone, manifested by a catch and release or by minimal resistance at the end of the ROM when the affected part(s) is moved in flexion or extension.
(肌肉張力稍微增加,當被動移動時,在最後只有一點阻力)
1+
(2)

弱強
Slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder (less than half) of the ROM.
(肌肉張力稍微增加,當被動移動時,阻力發生在做到前1/2)
2
(3)

中強
More marked increase in muscle tone through most of the ROM, but affected part(s) easily moved.
(肌肉張力增加更多,當被動移動時,ROM的整個過程中都可感覺有阻力,仍很容易移動)
3
(4)
極強
Considerable increase in muscle tone, passive movement difficult.
(肌肉張力增加相當的大,當被動移動時,阻力都非常強,不容易移動)
4
(5)
僵直
Affected part(s) rigid in flexion or extension.
(僵直在屈曲或伸直下)
( )為另一版本!!

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